PARK CITIES COSMETIC SURGERY NPI 1053765230

NPI Information

  • NPI: 1053765230
  • Provider Name: PARK CITIES COSMETIC SURGERY
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 4311 OAK LAWN AVE
    SUITE 365
    DALLAS, TX
    ZIP 75219
  • Phone: (469) 730-2831

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NPI Details

PARK CITIES COSMETIC SURGERY is a plastic surgery in Dallas, TX. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. PARK CITIES COSMETIC SURGERY NPI is 1053765230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4311 OAK LAWN AVE
SUITE 365
DALLAS, TX
ZIP 75219-315
Phone: (469) 730-2831

The provider's authorized official is Michael Robert Lee .
The authorized official title is Owner/ceo and has the following contact phone number (469) 730-2831.

The enumeration date for this NPI number is 4/14/2016 and was last updated on 11/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryM7367TEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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